Organization
BLUEGRASS PAIN CONSULTANTS PLLC
Active
Other names
Pain Management Group PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L. NELSON (OWNER)
(502) 423-1021
Entity
Organization
Contact information
Practice address
10241 CHAMPION FARMS DR, LOUISVILLE, KY 40241-6150
(502) 423-1021
(502) 423-1416
Mailing address
10301 CHAMPION FARMS DRIVE, LOUISVILLE, KY 40241-6129
(502) 423-1021
(502) 423-1416
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100034210
—
KY
05
—
7100038680
—
KY
Enumeration date
04/09/2008
Last updated
06/19/2012
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